Displaying 172561-172570 of 1611142 results.
ID:
172561
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172562
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172563
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172564
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172565
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172566
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172567
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172568
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172569
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172570
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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