Displaying 85241-85250 of 1611142 results.
ID:
85241
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85242
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85243
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85244
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85245
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85246
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85247
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85248
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85249
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85250
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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