Displaying 171831-171840 of 1611142 results.
ID:
171831
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171832
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171833
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171834
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171835
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171836
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171837
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171838
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171839
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171840
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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