Displaying 171291-171300 of 1611142 results.
ID:
171291
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171292
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171293
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171294
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171295
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171296
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171297
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171298
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171299
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171300
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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