Displaying 172871-172880 of 1611142 results.
ID:
172871
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172872
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172873
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
172874
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172875
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172876
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172877
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172878
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172879
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172880
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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