Displaying 54531-54540 of 1611142 results.
ID:
54531
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54532
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54533
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54534
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54535
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54536
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54537
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54538
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54539
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54540
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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