Displaying 114291-114300 of 1611142 results.
ID:
114291
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114292
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114293
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114294
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114295
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114296
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114297
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114298
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114299
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114300
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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