Displaying 51721-51730 of 1611142 results.
ID:
51721
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51722
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51723
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51724
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51725
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51726
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51727
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51728
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51729
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51730
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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