Displaying 192871-192880 of 1611142 results.
ID:
192871
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192872
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192873
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192874
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192875
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
192876
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192877
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192878
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192879
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192880
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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