Displaying 171821-171830 of 1611142 results.
ID:
171821
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171822
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171823
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171824
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171825
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171826
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171827
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171828
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171829
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171830
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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