Displaying 106761-106770 of 1611142 results.
ID:
106761
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106762
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106763
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106764
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106765
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106766
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106767
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106768
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106769
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106770
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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