Displaying 173971-173980 of 1611142 results.
ID:
173971
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
173972
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173973
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173974
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173975
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173976
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173977
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173978
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173979
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173980
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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