Displaying 107781-107790 of 1611142 results.
ID:
107781
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107782
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107783
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107784
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107785
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107786
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107787
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107788
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107789
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107790
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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