Displaying 192521-192530 of 1611142 results.
ID:
192521
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192522
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192523
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192524
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192525
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192526
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192527
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192528
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192529
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192530
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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