Displaying 109461-109470 of 1611142 results.
ID:
109461
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109462
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109463
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109464
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109465
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109466
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109467
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109468
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109469
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109470
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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