Displaying 192291-192300 of 1611142 results.
ID:
192291
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192292
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192293
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192294
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
192295
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192296
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192297
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192298
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192299
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192300
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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