Displaying 53601-53610 of 1611142 results.
ID:
53601
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53602
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53603
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53604
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53605
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53606
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53607
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53608
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53609
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53610
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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