Displaying 173291-173300 of 1611142 results.
ID:
173291
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173292
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173293
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173294
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173295
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173296
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173297
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173298
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173299
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173300
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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