Displaying 191411-191420 of 1611142 results.
ID:
191411
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191412
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191413
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191414
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191415
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191416
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
191417
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191418
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191419
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191420
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
485413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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