Displaying 172091-172100 of 1611142 results.
ID:
172091
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
172092
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
172093
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172094
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172095
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172096
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
172097
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172098
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172099
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172100
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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