Displaying 199101-199110 of 1611142 results.
ID:
199101
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199102
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199103
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199104
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199105
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199106
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
199107
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
199108
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
199109
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
199110
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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