Displaying 172721-172730 of 1611142 results.
ID:
172721
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172722
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172723
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172724
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172725
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172726
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172727
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172728
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172729
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172730
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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