Displaying 193601-193610 of 1611142 results.
ID:
193601
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193602
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193603
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
193604
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193605
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193606
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193607
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193608
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193609
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193610
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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