Displaying 172361-172370 of 1611142 results.
ID:
172361
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
172362
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
172363
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
172364
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172365
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172366
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172367
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172368
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172369
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172370
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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