Displaying 172331-172340 of 1611142 results.
ID:
172331
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172332
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172333
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172334
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172335
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172336
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
172337
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
172338
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
172339
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
172340
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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