Displaying 47531-47540 of 1611142 results.
ID:
47531
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47532
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47533
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47534
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47535
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47536
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47537
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47538
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47539
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47540
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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