Displaying 192941-192950 of 1611142 results.
ID:
192941
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
192942
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192943
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192944
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192945
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192946
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192947
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192948
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192949
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192950
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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