Displaying 172931-172940 of 1611142 results.
ID:
172931
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172932
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172933
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172934
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172935
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172936
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172937
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
172938
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172939
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172940
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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