Displaying 192711-192720 of 1611142 results.
ID:
192711
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192712
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192713
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192714
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192715
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192716
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192717
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192718
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
192719
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
192720
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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