Displaying 172801-172810 of 1611142 results.
ID:
172801
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172802
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172803
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172804
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172805
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172806
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172807
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172808
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172809
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172810
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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