Displaying 58921-58930 of 1611142 results.
ID:
58921
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58922
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58923
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58924
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58925
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58926
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58927
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
220
Qty Limit Days:
30
ID:
58928
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58929
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58930
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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