Displaying 95441-95450 of 1611142 results.
ID:
95441
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95442
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95443
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
95444
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95445
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95446
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95447
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95448
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95449
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95450
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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