Displaying 199001-199010 of 1611142 results.
ID:
199001
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199002
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199003
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199004
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199005
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199006
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
199007
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199008
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199009
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199010
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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