Displaying 190231-190240 of 1611142 results.
ID:
190231
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190232
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190233
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190234
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190235
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190236
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190237
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190238
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190239
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190240
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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