Displaying 170551-170560 of 1611142 results.
ID:
170551
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170552
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170553
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170554
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170555
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170556
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170557
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170558
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170559
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170560
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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