Displaying 54941-54950 of 1611142 results.
ID:
54941
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54942
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54943
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54944
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
54945
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
54946
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54947
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54948
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54949
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54950
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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