Displaying 109181-109190 of 1611142 results.
ID:
109181
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109182
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109183
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109184
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109185
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109186
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109187
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109188
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109189
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109190
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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