Displaying 172451-172460 of 1611142 results.
ID:
172451
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172452
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172453
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172454
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172455
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172456
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172457
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172458
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172459
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172460
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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