Displaying 172551-172560 of 1611142 results.
ID:
172551
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172552
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172553
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
172554
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172555
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
172556
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172557
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172558
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172559
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172560
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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