Displaying 198941-198950 of 1611142 results.
ID:
198941
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
198942
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198943
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198944
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198945
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198946
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198947
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198948
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198949
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198950
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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