Displaying 1781-1790 of 1611142 results.
ID:
1781
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1782
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
1783
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
ID:
1784
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1785
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1786
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1787
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1788
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1789
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1790
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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