Displaying 53401-53410 of 1611142 results.
ID:
53401
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53402
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53403
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53404
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53405
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53406
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53407
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53408
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53409
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53410
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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