Displaying 114331-114340 of 1611142 results.
ID:
114331
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114332
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114333
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114334
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114335
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114336
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114337
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114338
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114339
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114340
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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