Displaying 172111-172120 of 1611142 results.
ID:
172111
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172112
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172113
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172114
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172115
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172116
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172117
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172118
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
172119
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172120
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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