Displaying 173241-173250 of 1611142 results.
ID:
173241
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173242
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173243
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173244
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173245
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173246
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173247
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173248
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173249
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173250
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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