Displaying 105211-105220 of 1611142 results.
ID:
105211
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105212
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105213
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105214
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105215
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105216
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
309115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105217
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105218
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105219
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105220
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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