Displaying 193991-194000 of 1611142 results.
ID:
193991
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193992
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193993
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193994
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193995
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193996
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193997
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193998
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193999
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194000
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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