Displaying 49271-49280 of 1611142 results.
ID:
49271
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49272
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49273
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
49274
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49275
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49276
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49277
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49278
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49279
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49280
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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