Displaying 192361-192370 of 1611142 results.
ID:
192361
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192362
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192363
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192364
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192365
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192366
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192367
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192368
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192369
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192370
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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