Displaying 193241-193250 of 1611142 results.
ID:
193241
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193242
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193243
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193244
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193245
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193246
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193247
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193248
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
193249
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193250
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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