Displaying 103991-104000 of 1611142 results.
ID:
103991
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103992
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103993
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103994
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103995
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103996
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103997
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103998
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103999
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104000
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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