Displaying 42481-42490 of 1611142 results.
ID:
42481
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42482
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42483
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42484
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42485
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42486
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42487
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42488
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42489
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42490
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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