Displaying 49061-49070 of 1611142 results.
ID:
49061
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49062
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49063
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49064
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49065
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49066
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
49067
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49068
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49069
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49070
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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