Displaying 192061-192070 of 1611142 results.
ID:
192061
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192062
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
901550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192063
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
901555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192064
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192065
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192066
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192067
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192068
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192069
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192070
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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