Displaying 105001-105010 of 1611142 results.
ID:
105001
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105002
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105003
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105004
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105005
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105006
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105007
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105008
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105009
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105010
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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