Displaying 172321-172330 of 1611142 results.
ID:
172321
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172322
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172323
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172324
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172325
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
172326
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
172327
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
172328
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
172329
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172330
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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