Displaying 57191-57200 of 1611142 results.
ID:
57191
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57192
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57193
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57194
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57195
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57196
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57197
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57198
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57199
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57200
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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