Displaying 173351-173360 of 1611142 results.
ID:
173351
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173352
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173353
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173354
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173355
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173356
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173357
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173358
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173359
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173360
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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