Displaying 200731-200740 of 1611142 results.
ID:
200731
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200732
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
200733
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200734
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200735
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
200736
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200737
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200738
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200739
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200740
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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