Displaying 170941-170950 of 1611142 results.
ID:
170941
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
170942
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170943
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
170944
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170945
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170946
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170947
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170948
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170949
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170950
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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