Displaying 57581-57590 of 1611142 results.
ID:
57581
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57582
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57583
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57584
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57585
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57586
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57587
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57588
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57589
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57590
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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