Displaying 49731-49740 of 1611142 results.
ID:
49731
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49732
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49733
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
49734
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49735
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49736
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49737
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49738
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49739
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49740
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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