Displaying 171341-171350 of 1611142 results.
ID:
171341
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171342
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171343
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171344
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171345
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171346
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171347
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171348
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171349
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171350
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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