Displaying 192441-192450 of 1611142 results.
ID:
192441
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192442
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192443
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192444
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192445
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192446
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192447
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192448
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192449
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192450
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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