Displaying 50351-50360 of 1611142 results.
ID:
50351
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50352
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50353
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50354
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50355
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50356
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50357
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50358
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50359
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50360
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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