Displaying 110371-110380 of 1611142 results.
ID:
110371
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110372
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110373
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110374
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110375
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110376
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110377
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110378
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
851750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110379
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110380
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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