Displaying 191521-191530 of 1611142 results.
ID:
191521
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191522
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191523
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191524
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191525
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191526
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191527
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191528
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191529
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191530
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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