Displaying 50501-50510 of 1611142 results.
ID:
50501
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50502
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50503
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50504
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50505
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50506
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50507
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50508
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50509
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50510
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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