Displaying 38131-38140 of 1611142 results.
ID:
38131
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38132
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38133
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38134
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38135
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38136
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38137
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38138
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38139
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38140
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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