Displaying 172851-172860 of 1611142 results.
ID:
172851
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172852
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172853
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172854
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172855
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172856
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172857
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172858
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172859
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172860
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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