Displaying 59721-59730 of 1611142 results.
ID:
59721
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59722
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
59723
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
59724
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
59725
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
59726
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59727
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
59728
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59729
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59730
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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