Displaying 112941-112950 of 1611142 results.
ID:
112941
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112942
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112943
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112944
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112945
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112946
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112947
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112948
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112949
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112950
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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