Displaying 170451-170460 of 1611142 results.
ID:
170451
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170452
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170453
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170454
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170455
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
170456
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170457
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
170458
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170459
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170460
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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