Displaying 192151-192160 of 1611142 results.
ID:
192151
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192152
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192153
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192154
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192155
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192156
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192157
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192158
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192159
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192160
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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