Displaying 173151-173160 of 1611142 results.
ID:
173151
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173152
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173153
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173154
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173155
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173156
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173157
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173158
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173159
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173160
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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