Displaying 171811-171820 of 1611142 results.
ID:
171811
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171812
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171813
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171814
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171815
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171816
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171817
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171818
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171819
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171820
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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