Displaying 172671-172680 of 1611142 results.
ID:
172671
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172672
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172673
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172674
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172675
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172676
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172677
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172678
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172679
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172680
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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