Displaying 170131-170140 of 1611142 results.
ID:
170131
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170132
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170133
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170134
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170135
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170136
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
170137
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170138
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
170139
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
170140
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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