Displaying 192191-192200 of 1611142 results.
ID:
192191
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192192
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192193
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192194
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192195
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192196
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192197
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192198
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192199
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192200
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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