Displaying 59771-59780 of 1611142 results.
ID:
59771
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59772
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
59773
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
59774
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
59775
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
59776
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
59777
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59778
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59779
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59780
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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