Displaying 173271-173280 of 1611142 results.
ID:
173271
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173272
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173273
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173274
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173275
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173276
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173277
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173278
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173279
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173280
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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