Displaying 173091-173100 of 1611142 results.
ID:
173091
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173092
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173093
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173094
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173095
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173096
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173097
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173098
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
173099
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173100
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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