Displaying 171991-172000 of 1611142 results.
ID:
171991
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171992
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171993
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171994
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171995
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171996
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171997
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171998
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171999
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172000
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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