Displaying 192111-192120 of 1611142 results.
ID:
192111
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192112
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192113
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192114
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192115
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192116
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192117
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192118
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192119
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192120
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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