Displaying 115041-115050 of 1611142 results.
ID:
115041
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115042
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115043
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115044
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115045
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115046
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115047
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115048
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115049
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115050
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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