Displaying 52071-52080 of 1611142 results.
ID:
52071
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52072
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52073
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52074
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52075
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52076
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52077
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52078
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52079
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52080
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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