Displaying 171651-171660 of 1611142 results.
ID:
171651
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171652
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171653
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171654
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171655
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171656
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171657
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171658
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171659
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171660
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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