Displaying 106901-106910 of 1611142 results.
ID:
106901
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106902
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106903
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106904
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106905
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106906
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106907
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106908
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106909
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
106910
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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