Displaying 192481-192490 of 1611142 results.
ID:
192481
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192482
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192483
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192484
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192485
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192486
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192487
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192488
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
252478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192489
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192490
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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