Displaying 57211-57220 of 1611142 results.
ID:
57211
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57212
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57213
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57214
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57215
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57216
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57217
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57218
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57219
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57220
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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