Displaying 173071-173080 of 1611142 results.
ID:
173071
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173072
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173073
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173074
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173075
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1297660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173076
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1297763
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173077
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173078
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173079
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173080
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830876
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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