Displaying 192971-192980 of 1611142 results.
ID:
192971
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192972
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192973
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192974
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192975
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192976
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
192977
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
901546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192978
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192979
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192980
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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