Displaying 191701-191710 of 1611142 results.
ID:
191701
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191702
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191703
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191704
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191705
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191706
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191707
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191708
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191709
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191710
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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