Displaying 200971-200980 of 1611142 results.
ID:
200971
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200972
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200973
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200974
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200975
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200976
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200977
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200978
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200979
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200980
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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