Displaying 171511-171520 of 1611142 results.
ID:
171511
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171512
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171513
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171514
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171515
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171516
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171517
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171518
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171519
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171520
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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