Displaying 109901-109910 of 1611142 results.
ID:
109901
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109902
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109903
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109904
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109905
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109906
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109907
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109908
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109909
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109910
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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