Displaying 99421-99430 of 1611142 results.
ID:
99421
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99422
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99423
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99424
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99425
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99426
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99427
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99428
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99429
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99430
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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