Displaying 193021-193030 of 1611142 results.
ID:
193021
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193022
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193023
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193024
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193025
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193026
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193027
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193028
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193029
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193030
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
930
Qty Limit Days:
30
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