Displaying 103871-103880 of 1611142 results.
ID:
103871
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103872
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103873
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103874
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103875
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103876
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103877
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103878
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103879
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103880
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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