Displaying 106421-106430 of 1611142 results.
ID:
106421
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106422
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106423
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106424
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106425
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106426
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106427
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106428
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106429
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106430
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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