Displaying 200771-200780 of 1611142 results.
ID:
200771
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200772
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200773
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200774
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200775
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200776
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200777
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200778
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200779
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
200780
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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