Displaying 116821-116830 of 1611142 results.
ID:
116821
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116822
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116823
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116824
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116825
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116826
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116827
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116828
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116829
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116830
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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