Displaying 173211-173220 of 1611142 results.
ID:
173211
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173212
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173213
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173214
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173215
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173216
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173217
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173218
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173219
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173220
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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