Displaying 193171-193180 of 1611142 results.
ID:
193171
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193172
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193173
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193174
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193175
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193176
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193177
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193178
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193179
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193180
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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