Displaying 114991-115000 of 1611142 results.
ID:
114991
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114992
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114993
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114994
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114995
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114996
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114997
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114998
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114999
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115000
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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