Displaying 172441-172450 of 1611142 results.
ID:
172441
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172442
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172443
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172444
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172445
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172446
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172447
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172448
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172449
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172450
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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