Displaying 173171-173180 of 1611142 results.
ID:
173171
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173172
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173173
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173174
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173175
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173176
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173177
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173178
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173179
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173180
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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