Displaying 201351-201360 of 1611142 results.
ID:
201351
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201352
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201353
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201354
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201355
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201356
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201357
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201358
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201359
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201360
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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