Displaying 172581-172590 of 1611142 results.
ID:
172581
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172582
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172583
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172584
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172585
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172586
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172587
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172588
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172589
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172590
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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