Displaying 49511-49520 of 1611142 results.
ID:
49511
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49512
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49513
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49514
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49515
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49516
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
49517
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49518
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49519
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49520
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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