Displaying 172611-172620 of 1611142 results.
ID:
172611
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172612
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172613
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172614
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172615
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172616
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172617
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172618
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172619
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172620
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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