Displaying 193211-193220 of 1611142 results.
ID:
193211
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193212
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193213
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193214
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193215
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193216
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193217
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193218
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193219
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193220
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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