Displaying 41911-41920 of 1611142 results.
ID:
41911
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41912
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41913
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41914
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41915
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41916
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41917
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41918
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41919
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41920
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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