Displaying 50851-50860 of 1611142 results.
ID:
50851
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50852
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50853
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50854
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50855
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
50856
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
50857
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
50858
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50859
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50860
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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