Displaying 192021-192030 of 1611142 results.
ID:
192021
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192022
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812421
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192023
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812425
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192024
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812419
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192025
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812427
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192026
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1494769
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192027
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192028
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192029
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192030
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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