Displaying 200341-200350 of 1611142 results.
ID:
200341
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200342
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200343
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200344
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200345
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200346
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200347
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
200348
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200349
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
200350
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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