Displaying 170531-170540 of 1611142 results.
ID:
170531
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170532
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170533
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170534
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170535
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170536
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170537
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170538
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170539
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170540
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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