Displaying 172741-172750 of 1611142 results.
ID:
172741
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172742
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172743
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172744
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172745
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172746
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172747
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172748
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172749
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172750
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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