Displaying 105181-105190 of 1611142 results.
ID:
105181
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105182
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105183
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105184
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105185
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105186
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105187
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105188
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105189
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105190
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
220
Qty Limit Days:
30
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