Displaying 200831-200840 of 1611142 results.
ID:
200831
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
200832
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200833
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200834
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200835
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200836
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200837
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200838
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200839
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200840
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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