Displaying 171581-171590 of 1611142 results.
ID:
171581
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171582
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171583
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171584
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171585
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171586
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171587
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171588
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171589
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171590
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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