Displaying 172571-172580 of 1611142 results.
ID:
172571
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172572
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172573
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172574
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172575
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172576
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
172577
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
172578
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
172579
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172580
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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