Displaying 40751-40760 of 1611142 results.
ID:
40751
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40752
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40753
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40754
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40755
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40756
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40757
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40758
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40759
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40760
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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