Displaying 193391-193400 of 1611142 results.
ID:
193391
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193392
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193393
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193394
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193395
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
193396
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193397
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193398
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193399
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193400
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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