Displaying 172981-172990 of 1611142 results.
ID:
172981
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172982
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172983
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172984
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172985
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172986
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172987
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172988
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172989
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172990
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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