Displaying 200451-200460 of 1611142 results.
ID:
200451
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200452
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200453
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200454
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200455
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200456
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200457
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200458
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200459
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200460
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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