Displaying 170841-170850 of 1611142 results.
ID:
170841
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
170842
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170843
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170844
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170845
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170846
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170847
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170848
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170849
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170850
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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