Displaying 171031-171040 of 1611142 results.
ID:
171031
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171032
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171033
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
171034
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171035
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171036
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171037
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
171038
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171039
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171040
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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