Displaying 193271-193280 of 1611142 results.
ID:
193271
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193272
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193273
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193274
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193275
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193276
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193277
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193278
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193279
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193280
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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