Displaying 170181-170190 of 1611142 results.
ID:
170181
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170182
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170183
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170184
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170185
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170186
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170187
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170188
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170189
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170190
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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