Displaying 20171-20180 of 1611142 results.
ID:
20171
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20172
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20173
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
20174
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20175
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
20176
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20177
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20178
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20179
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20180
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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