Displaying 173281-173290 of 1611142 results.
ID:
173281
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173282
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173283
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173284
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173285
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173286
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173287
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173288
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173289
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173290
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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