Displaying 49021-49030 of 1611142 results.
ID:
49021
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49022
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49023
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49024
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
49025
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49026
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49027
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49028
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49029
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49030
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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