Displaying 199141-199150 of 1611142 results.
ID:
199141
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199142
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199143
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199144
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199145
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199146
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199147
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199148
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
199149
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199150
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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