Displaying 113991-114000 of 1611142 results.
ID:
113991
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113992
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113993
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113994
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113995
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113996
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113997
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113998
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113999
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114000
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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