Displaying 172621-172630 of 1611142 results.
ID:
172621
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172622
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172623
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172624
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172625
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172626
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172627
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
978727
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172628
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
978735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172629
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172630
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
978737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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