Displaying 3871-3880 of 1611142 results.
ID:
3871
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3872
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3873
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3874
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3875
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3876
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3877
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3878
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3879
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3880
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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