Displaying 172501-172510 of 1611142 results.
ID:
172501
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172502
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172503
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172504
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172505
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172506
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172507
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172508
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172509
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172510
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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