Displaying 200631-200640 of 1611142 results.
ID:
200631
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200632
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200633
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200634
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
200635
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200636
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200637
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
200638
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200639
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200640
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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