Displaying 200361-200370 of 1611142 results.
ID:
200361
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200362
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200363
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200364
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200365
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200366
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200367
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
200368
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
200369
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200370
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
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