Displaying 103681-103690 of 1611142 results.
ID:
103681
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103682
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103683
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103684
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103685
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103686
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103687
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103688
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103689
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103690
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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