Displaying 170341-170350 of 1611142 results.
ID:
170341
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170342
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170343
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170344
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170345
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170346
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170347
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170348
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170349
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170350
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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