Displaying 172991-173000 of 1611142 results.
ID:
172991
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172992
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172993
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172994
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172995
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172996
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172997
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172998
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172999
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173000
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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