Displaying 48251-48260 of 1611142 results.
ID:
48251
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48252
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48253
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48254
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48255
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48256
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48257
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48258
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48259
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48260
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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