Displaying 117521-117530 of 1611142 results.
ID:
117521
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117522
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117523
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117524
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117525
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117526
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117527
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117528
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117529
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117530
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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