Displaying 193191-193200 of 1611142 results.
ID:
193191
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193192
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193193
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193194
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193195
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193196
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193197
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193198
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193199
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193200
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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