Displaying 171321-171330 of 1611142 results.
ID:
171321
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171322
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171323
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
171324
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
171325
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171326
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171327
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171328
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171329
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171330
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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