Displaying 173221-173230 of 1611142 results.
ID:
173221
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173222
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173223
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173224
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173225
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173226
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173227
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173228
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173229
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173230
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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