Displaying 192491-192500 of 1611142 results.
ID:
192491
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192492
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
192493
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
192494
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
192495
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192496
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192497
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192498
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192499
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192500
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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