Displaying 40391-40400 of 1611142 results.
ID:
40391
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40392
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40393
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40394
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40395
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40396
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40397
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40398
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40399
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40400
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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