Displaying 171881-171890 of 1611142 results.
ID:
171881
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171882
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171883
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
171884
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171885
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171886
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171887
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171888
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171889
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171890
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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