Displaying 172591-172600 of 1611142 results.
ID:
172591
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172592
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172593
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172594
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172595
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172596
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172597
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172598
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172599
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172600
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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