Displaying 49531-49540 of 1611142 results.
ID:
49531
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
49532
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
49533
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49534
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49535
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49536
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49537
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49538
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49539
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49540
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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