Displaying 172411-172420 of 1611142 results.
ID:
172411
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172412
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172413
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172414
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172415
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172416
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172417
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172418
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172419
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172420
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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