Displaying 54561-54570 of 1611142 results.
ID:
54561
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54562
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54563
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54564
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54565
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54566
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54567
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54568
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54569
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54570
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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