Displaying 170951-170960 of 1611142 results.
ID:
170951
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170952
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170953
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170954
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170955
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170956
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170957
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170958
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170959
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170960
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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