Displaying 13401-13410 of 1611142 results.
ID:
13401
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13402
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13403
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13404
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13405
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13406
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13407
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13408
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13409
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13410
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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