Displaying 39421-39430 of 1611142 results.
ID:
39421
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39422
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39423
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39424
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39425
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39426
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39427
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39428
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39429
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39430
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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