Displaying 102021-102030 of 1611142 results.
ID:
102021
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102022
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102023
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102024
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102025
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102026
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102027
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102028
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102029
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102030
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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