Displaying 192661-192670 of 1611142 results.
ID:
192661
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192662
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192663
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192664
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192665
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192666
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192667
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192668
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192669
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192670
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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