Displaying 191641-191650 of 1611142 results.
ID:
191641
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191642
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191643
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191644
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191645
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191646
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191647
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191648
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
191649
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191650
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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