Displaying 52841-52850 of 1611142 results.
ID:
52841
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
52842
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52843
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52844
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52845
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52846
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52847
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52848
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52849
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52850
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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