Displaying 80051-80060 of 1611142 results.
ID:
80051
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80052
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80053
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80054
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80055
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80056
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80057
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80058
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80059
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80060
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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