Displaying 1381-1390 of 1611142 results.
ID:
1381
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1382
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
1383
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1384
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1385
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1386
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1387
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1388
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1389
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1390
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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