Displaying 200281-200290 of 1611142 results.
ID:
200281
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200282
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200283
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200284
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200285
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200286
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200287
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200288
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200289
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200290
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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