Displaying 51311-51320 of 1611142 results.
ID:
51311
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51312
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51313
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51314
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51315
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51316
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51317
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51318
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51319
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51320
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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