Displaying 173341-173350 of 1611142 results.
ID:
173341
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173342
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173343
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173344
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173345
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173346
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173347
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173348
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173349
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173350
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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