Displaying 391-400 of 1611142 results.
ID:
391
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
220
Qty Limit Days:
30
ID:
392
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
393
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
394
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
395
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
396
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
397
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
398
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
399
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
400
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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