Displaying 44171-44180 of 1611142 results.
ID:
44171
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44172
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44173
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44174
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44175
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
44176
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44177
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
44178
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44179
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44180
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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