Displaying 172391-172400 of 1611142 results.
ID:
172391
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
172392
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
172393
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172394
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172395
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172396
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172397
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172398
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172399
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172400
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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