Displaying 172681-172690 of 1611142 results.
ID:
172681
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172682
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172683
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172684
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172685
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172686
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172687
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172688
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172689
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172690
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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