Displaying 172481-172490 of 1611142 results.
ID:
172481
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172482
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172483
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172484
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992837
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172485
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172486
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172487
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172488
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992691
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172489
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992700
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172490
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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