Displaying 194131-194140 of 1611142 results.
ID:
194131
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194132
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194133
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194134
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194135
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194136
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194137
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194138
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194139
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194140
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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