Displaying 173321-173330 of 1611142 results.
ID:
173321
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173322
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173323
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173324
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173325
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173326
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173327
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173328
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173329
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173330
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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