Displaying 52531-52540 of 1611142 results.
ID:
52531
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52532
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52533
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52534
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52535
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52536
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52537
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52538
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52539
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52540
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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