Displaying 201391-201400 of 1611142 results.
ID:
201391
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201392
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201393
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201394
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
201395
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201396
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201397
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201398
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201399
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
404475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201400
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
404476
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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