Displaying 172731-172740 of 1611142 results.
ID:
172731
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172732
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172733
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172734
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172735
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172736
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172737
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172738
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172739
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172740
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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