Displaying 172081-172090 of 1611142 results.
ID:
172081
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172082
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172083
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172084
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172085
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172086
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172087
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172088
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172089
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172090
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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