Displaying 113911-113920 of 1611142 results.
ID:
113911
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113912
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113913
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113914
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113915
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113916
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113917
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113918
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113919
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113920
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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