Displaying 59441-59450 of 1611142 results.
ID:
59441
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
59442
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59443
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59444
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59445
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59446
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59447
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59448
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59449
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59450
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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