Displaying 52901-52910 of 1611142 results.
ID:
52901
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52902
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52903
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52904
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52905
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52906
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52907
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52908
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52909
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52910
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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