Displaying 192961-192970 of 1611142 results.
ID:
192961
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192962
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192963
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192964
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192965
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192966
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192967
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192968
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
192969
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
192970
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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