Displaying 103571-103580 of 1611142 results.
ID:
103571
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103572
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103573
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103574
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103575
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103576
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103577
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103578
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103579
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103580
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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