Displaying 173331-173340 of 1611142 results.
ID:
173331
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
173332
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
173333
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
173334
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
173335
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173336
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173337
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173338
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173339
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173340
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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