Displaying 48401-48410 of 1611142 results.
ID:
48401
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48402
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48403
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48404
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48405
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48406
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48407
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48408
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48409
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48410
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
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