Displaying 57201-57210 of 1611142 results.
ID:
57201
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57202
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57203
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57204
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57205
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57206
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57207
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57208
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57209
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57210
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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