Displaying 59421-59430 of 1611142 results.
ID:
59421
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59422
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59423
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59424
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59425
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59426
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59427
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59428
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59429
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59430
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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