Displaying 192831-192840 of 1611142 results.
ID:
192831
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192832
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192833
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
722111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192834
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192835
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192836
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192837
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192838
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192839
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192840
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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