Displaying 199451-199460 of 1611142 results.
ID:
199451
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
199452
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
199453
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
199454
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
199455
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199456
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199457
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
199458
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
199459
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199460
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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