Displaying 173021-173030 of 1611142 results.
ID:
173021
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173022
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173023
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173024
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173025
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173026
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173027
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173028
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173029
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173030
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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