Displaying 102721-102730 of 1611142 results.
ID:
102721
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102722
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102723
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102724
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102725
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102726
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
102727
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
102728
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102729
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102730
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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