Displaying 173081-173090 of 1611142 results.
ID:
173081
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173082
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173083
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173084
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173085
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173086
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173087
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173088
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173089
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173090
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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