Displaying 192891-192900 of 1611142 results.
ID:
192891
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192892
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
192893
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192894
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192895
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192896
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192897
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
192898
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192899
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
192900
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
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