Displaying 103131-103140 of 1611142 results.
ID:
103131
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103132
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103133
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103134
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103135
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103136
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103137
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103138
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103139
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103140
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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