Displaying 103521-103530 of 1611142 results.
ID:
103521
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103522
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103523
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103524
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103525
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103526
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103527
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103528
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103529
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103530
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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