Displaying 51071-51080 of 1611142 results.
ID:
51071
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51072
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51073
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51074
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51075
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51076
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51077
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51078
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51079
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51080
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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