Displaying 201361-201370 of 1611142 results.
ID:
201361
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201362
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201363
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201364
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201365
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201366
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201367
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201368
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201369
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201370
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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