Displaying 171431-171440 of 1611142 results.
ID:
171431
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171432
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171433
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171434
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171435
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
171436
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
171437
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
171438
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171439
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171440
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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