Displaying 171631-171640 of 1611142 results.
ID:
171631
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171632
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171633
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171634
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171635
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171636
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171637
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171638
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171639
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171640
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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