Displaying 58731-58740 of 1611142 results.
ID:
58731
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58732
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58733
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58734
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58735
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58736
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58737
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58738
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58739
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58740
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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