Displaying 59951-59960 of 1611142 results.
ID:
59951
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59952
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59953
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59954
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59955
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59956
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59957
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59958
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59959
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59960
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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