Displaying 172861-172870 of 1611142 results.
ID:
172861
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172862
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172863
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172864
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172865
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172866
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172867
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172868
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172869
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172870
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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