Displaying 172511-172520 of 1611142 results.
ID:
172511
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172512
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172513
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
172514
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172515
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172516
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172517
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172518
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172519
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172520
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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