Displaying 193851-193860 of 1611142 results.
ID:
193851
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193852
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193853
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193854
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193855
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193856
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193857
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193858
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193859
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193860
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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