Displaying 103271-103280 of 1611142 results.
ID:
103271
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103272
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103273
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103274
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103275
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103276
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103277
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
103278
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103279
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
103280
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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