Displaying 39221-39230 of 1611142 results.
ID:
39221
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39222
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39223
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39224
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39225
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39226
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39227
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39228
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39229
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39230
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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