Displaying 171541-171550 of 1611142 results.
ID:
171541
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171542
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171543
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171544
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171545
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171546
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171547
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171548
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171549
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171550
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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