Displaying 171641-171650 of 1611142 results.
ID:
171641
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171642
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171643
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171644
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171645
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171646
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171647
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171648
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171649
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171650
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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