Displaying 170481-170490 of 1611142 results.
ID:
170481
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170482
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170483
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170484
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170485
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170486
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170487
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170488
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170489
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170490
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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