Displaying 201551-201560 of 1611142 results.
ID:
201551
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201552
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
201553
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
201554
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
201555
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201556
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201557
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201558
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201559
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201560
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
643123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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