Displaying 113391-113400 of 1611142 results.
ID:
113391
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113392
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113393
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113394
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113395
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113396
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113397
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113398
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113399
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113400
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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