Displaying 171781-171790 of 1611142 results.
ID:
171781
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171782
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171783
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171784
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171785
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171786
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
171787
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171788
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171789
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171790
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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