Displaying 171961-171970 of 1611142 results.
ID:
171961
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
171962
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171963
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171964
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171965
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171966
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171967
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171968
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171969
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171970
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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