Displaying 172891-172900 of 1611142 results.
ID:
172891
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172892
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172893
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172894
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172895
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172896
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172897
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172898
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172899
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172900
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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