Displaying 172461-172470 of 1611142 results.
ID:
172461
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172462
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172463
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172464
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172465
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172466
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172467
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172468
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172469
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172470
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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