Displaying 199821-199830 of 1611142 results.
ID:
199821
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199822
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199823
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199824
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199825
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199826
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
199827
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199828
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199829
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
199830
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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