Displaying 173311-173320 of 1611142 results.
ID:
173311
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173312
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173313
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173314
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173315
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173316
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173317
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173318
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173319
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173320
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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