Displaying 51301-51310 of 1611142 results.
ID:
51301
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51302
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51303
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51304
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
51305
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51306
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51307
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51308
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51309
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51310
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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