Displaying 104421-104430 of 1611142 results.
ID:
104421
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104422
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104423
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104424
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104425
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104426
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104427
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104428
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104429
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104430
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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