Displaying 171531-171540 of 1611142 results.
ID:
171531
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171532
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171533
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171534
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171535
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171536
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171537
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171538
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171539
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171540
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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