Displaying 49321-49330 of 1611142 results.
ID:
49321
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49322
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49323
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49324
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49325
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49326
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49327
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49328
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49329
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49330
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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