Displaying 200491-200500 of 1611142 results.
ID:
200491
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200492
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200493
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200494
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
200495
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
200496
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200497
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200498
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200499
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200500
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
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