Displaying 172811-172820 of 1611142 results.
ID:
172811
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172812
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172813
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172814
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172815
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172816
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172817
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172818
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172819
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172820
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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