Displaying 200351-200360 of 1611142 results.
ID:
200351
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200352
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200353
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200354
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200355
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200356
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200357
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200358
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200359
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200360
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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