Displaying 48341-48350 of 1611142 results.
ID:
48341
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48342
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48343
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
48344
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48345
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48346
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48347
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48348
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
48349
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
48350
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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