Displaying 170881-170890 of 1611142 results.
ID:
170881
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170882
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170883
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170884
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170885
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170886
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170887
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
170888
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170889
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170890
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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