Displaying 173191-173200 of 1611142 results.
ID:
173191
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173192
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173193
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173194
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173195
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173196
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173197
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173198
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173199
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173200
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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