Displaying 53941-53950 of 1611142 results.
ID:
53941
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53942
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53943
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53944
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53945
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53946
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53947
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53948
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53949
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53950
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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