Displaying 191581-191590 of 1611142 results.
ID:
191581
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191582
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191583
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191584
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191585
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191586
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191587
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191588
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191589
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191590
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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