Displaying 171041-171050 of 1611142 results.
ID:
171041
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171042
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171043
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171044
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171045
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171046
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171047
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171048
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171049
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171050
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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