Displaying 172911-172920 of 1611142 results.
ID:
172911
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172912
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172913
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172914
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
172915
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172916
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172917
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172918
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172919
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172920
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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