Displaying 201381-201390 of 1611142 results.
ID:
201381
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201382
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201383
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201384
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201385
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201386
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201387
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
14
ID:
201388
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201389
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201390
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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