Displaying 37241-37250 of 1611142 results.
ID:
37241
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37242
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37243
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37244
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37245
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37246
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37247
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37248
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37249
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
37250
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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