Displaying 101721-101730 of 1611142 results.
ID:
101721
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101722
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101723
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101724
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101725
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101726
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101727
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101728
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101729
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101730
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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