Displaying 191931-191940 of 1611142 results.
ID:
191931
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191932
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191933
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191934
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191935
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191936
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191937
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191938
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191939
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191940
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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