Displaying 52781-52790 of 1611142 results.
ID:
52781
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52782
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
52783
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
52784
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
52785
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52786
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52787
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52788
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52789
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52790
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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