Displaying 116441-116450 of 1611142 results.
ID:
116441
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116442
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116443
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116444
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116445
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116446
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116447
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116448
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116449
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116450
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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