Displaying 171871-171880 of 1611142 results.
ID:
171871
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171872
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171873
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171874
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171875
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171876
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171877
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171878
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171879
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171880
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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