Displaying 170271-170280 of 1611142 results.
ID:
170271
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170272
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170273
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170274
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170275
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170276
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170277
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170278
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170279
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170280
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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