Displaying 48231-48240 of 1611142 results.
ID:
48231
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48232
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48233
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48234
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48235
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48236
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
48237
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48238
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48239
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48240
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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