Displaying 200381-200390 of 1611142 results.
ID:
200381
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200382
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200383
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1232585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200384
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
200385
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200386
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200387
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200388
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200389
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200390
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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