Displaying 192981-192990 of 1611142 results.
ID:
192981
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192982
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192983
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192984
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192985
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192986
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192987
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
192988
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192989
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192990
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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