Displaying 170991-171000 of 1611142 results.
ID:
170991
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170992
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170993
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170994
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170995
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170996
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170997
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170998
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170999
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171000
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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