Displaying 47911-47920 of 1611142 results.
ID:
47911
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47912
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47913
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47914
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47915
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47916
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
47917
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
47918
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
47919
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
47920
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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