Displaying 108521-108530 of 1611142 results.
ID:
108521
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108522
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108523
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108524
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108525
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108526
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108527
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108528
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108529
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108530
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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