Displaying 102191-102200 of 1611142 results.
ID:
102191
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102192
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102193
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102194
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102195
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102196
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102197
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102198
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102199
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102200
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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