Displaying 117091-117100 of 1611142 results.
ID:
117091
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117092
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117093
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117094
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117095
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117096
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117097
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117098
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244616
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117099
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117100
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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