Displaying 102271-102280 of 1611142 results.
ID:
102271
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102272
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102273
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102274
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102275
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102276
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102277
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102278
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102279
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102280
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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