Displaying 170041-170050 of 1611142 results.
ID:
170041
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170042
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170043
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170044
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170045
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170046
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170047
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170048
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170049
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170050
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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