Displaying 40121-40130 of 1611142 results.
ID:
40121
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40122
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40123
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40124
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40125
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40126
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40127
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40128
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
992481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40129
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40130
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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