Displaying 109911-109920 of 1611142 results.
ID:
109911
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109912
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109913
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109914
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109915
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109916
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109917
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109918
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109919
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109920
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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