Displaying 173011-173020 of 1611142 results.
ID:
173011
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173012
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173013
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173014
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173015
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173016
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173017
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173018
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173019
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173020
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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