Displaying 172651-172660 of 1611142 results.
ID:
172651
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172652
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172653
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172654
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172655
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172656
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172657
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172658
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172659
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172660
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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