Displaying 59831-59840 of 1611142 results.
ID:
59831
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59832
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59833
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59834
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59835
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59836
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59837
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59838
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59839
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59840
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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