Displaying 56251-56260 of 1611142 results.
ID:
56251
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56252
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56253
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56254
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56255
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56256
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56257
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56258
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56259
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56260
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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