Displaying 172601-172610 of 1611142 results.
ID:
172601
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172602
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172603
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172604
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172605
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172606
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172607
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172608
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172609
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172610
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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