Displaying 172791-172800 of 1611142 results.
ID:
172791
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172792
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172793
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172794
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172795
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172796
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172797
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172798
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172799
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172800
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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