Displaying 174121-174130 of 1611142 results.
ID:
174121
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
174122
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
174123
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
174124
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174125
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174126
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174127
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174128
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174129
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174130
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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