Displaying 52441-52450 of 1611142 results.
ID:
52441
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52442
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52443
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52444
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52445
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52446
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52447
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52448
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52449
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52450
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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