Displaying 172841-172850 of 1611142 results.
ID:
172841
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172842
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172843
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172844
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172845
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172846
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172847
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172848
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172849
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172850
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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