Displaying 51381-51390 of 1611142 results.
ID:
51381
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51382
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
51383
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
51384
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
51385
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
51386
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51387
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51388
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
51389
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
51390
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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