Displaying 108231-108240 of 1611142 results.
ID:
108231
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108232
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108233
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108234
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108235
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108236
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108237
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108238
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108239
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108240
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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