Displaying 103781-103790 of 1611142 results.
ID:
103781
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103782
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103783
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103784
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103785
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103786
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103787
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103788
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103789
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103790
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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