Displaying 171071-171080 of 1611142 results.
ID:
171071
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171072
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171073
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171074
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171075
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171076
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171077
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171078
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171079
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171080
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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