Displaying 115721-115730 of 1611142 results.
ID:
115721
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115722
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115723
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115724
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115725
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115726
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115727
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
115728
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
115729
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115730
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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