Displaying 105191-105200 of 1611142 results.
ID:
105191
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105192
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105193
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105194
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105195
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105196
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105197
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105198
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105199
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105200
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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