Displaying 192271-192280 of 1611142 results.
ID:
192271
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192272
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192273
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192274
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192275
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192276
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192277
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192278
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192279
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192280
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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