Displaying 192681-192690 of 1611142 results.
ID:
192681
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192682
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192683
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192684
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192685
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192686
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192687
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192688
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192689
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192690
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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