Displaying 172711-172720 of 1611142 results.
ID:
172711
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172712
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172713
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172714
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
670031
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172715
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172716
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172717
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172718
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172719
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172720
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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