Displaying 3961-3970 of 1611142 results.
ID:
3961
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3962
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3963
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3964
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3965
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3966
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3967
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3968
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3969
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3970
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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