Displaying 114431-114440 of 1611142 results.
ID:
114431
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114432
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114433
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114434
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114435
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114436
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
114437
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114438
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114439
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114440
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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