Displaying 200271-200280 of 1611142 results.
ID:
200271
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200272
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
200273
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
200274
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200275
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200276
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200277
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200278
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200279
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200280
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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