Displaying 51491-51500 of 1611142 results.
ID:
51491
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51492
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51493
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51494
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51495
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51496
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51497
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51498
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51499
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51500
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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