Displaying 173361-173370 of 1611142 results.
ID:
173361
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173362
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173363
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173364
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173365
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173366
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173367
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173368
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173369
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173370
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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