Displaying 110721-110730 of 1611142 results.
ID:
110721
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110722
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110723
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110724
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110725
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110726
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110727
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110728
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110729
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110730
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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