Displaying 50391-50400 of 1611142 results.
ID:
50391
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50392
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50393
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50394
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50395
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50396
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50397
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50398
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50399
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50400
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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