Displaying 47921-47930 of 1611142 results.
ID:
47921
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47922
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47923
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47924
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47925
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47926
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47927
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47928
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47929
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47930
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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