Displaying 170971-170980 of 1611142 results.
ID:
170971
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170972
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170973
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170974
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
170975
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
170976
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170977
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170978
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170979
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170980
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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