Displaying 173061-173070 of 1611142 results.
ID:
173061
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173062
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173063
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173064
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173065
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173066
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173067
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173068
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173069
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173070
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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