Displaying 51-60 of 1611142 results.
ID:
51
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
54
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
55
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
58
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
60
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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