Displaying 191051-191060 of 1611142 results.
ID:
191051
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191052
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191053
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191054
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191055
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191056
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191057
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
191058
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191059
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191060
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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