Displaying 192031-192040 of 1611142 results.
ID:
192031
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192032
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192033
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192034
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192035
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192036
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192037
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192038
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192039
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192040
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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