Displaying 172821-172830 of 1611142 results.
ID:
172821
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172822
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172823
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172824
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172825
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172826
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172827
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172828
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172829
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172830
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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