Displaying 193931-193940 of 1611142 results.
ID:
193931
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193932
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193933
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193934
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
193935
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193936
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193937
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193938
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193939
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193940
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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