Displaying 172951-172960 of 1611142 results.
ID:
172951
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172952
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172953
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172954
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172955
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172956
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172957
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172958
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172959
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172960
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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