Displaying 170961-170970 of 1611142 results.
ID:
170961
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170962
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170963
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170964
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170965
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170966
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170967
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170968
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170969
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170970
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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