Displaying 192651-192660 of 1611142 results.
ID:
192651
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192652
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192653
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192654
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192655
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192656
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192657
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192658
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192659
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192660
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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