Displaying 192171-192180 of 1611142 results.
ID:
192171
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192172
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192173
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192174
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192175
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192176
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192177
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192178
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192179
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192180
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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