Displaying 172941-172950 of 1611142 results.
ID:
172941
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172942
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172943
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172944
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172945
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172946
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172947
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172948
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172949
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172950
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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