Displaying 13141-13150 of 1611142 results.
ID:
13141
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13142
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13143
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13144
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13145
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13146
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13147
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13148
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13149
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13150
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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