Displaying 172701-172710 of 1611142 results.
ID:
172701
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172702
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172703
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172704
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1488619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172705
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1488617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172706
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172707
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172708
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172709
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172710
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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