Displaying 192161-192170 of 1611142 results.
ID:
192161
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
30
ID:
192162
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192163
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192164
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192165
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192166
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192167
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192168
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192169
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192170
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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