Displaying 48911-48920 of 1611142 results.
ID:
48911
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48912
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48913
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48914
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48915
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48916
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48917
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48918
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48919
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48920
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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