Displaying 172971-172980 of 1611142 results.
ID:
172971
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172972
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172973
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172974
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172975
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172976
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172977
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172978
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172979
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172980
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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