Displaying 51481-51490 of 1611142 results.
ID:
51481
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51482
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51483
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51484
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51485
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51486
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51487
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51488
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
51489
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51490
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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