Displaying 173161-173170 of 1611142 results.
ID:
173161
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173162
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173163
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173164
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173165
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173166
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173167
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173168
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173169
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173170
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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