Displaying 59571-59580 of 1611142 results.
ID:
59571
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59572
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59573
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
59574
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59575
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59576
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59577
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59578
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59579
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59580
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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