Displaying 173371-173380 of 1611142 results.
ID:
173371
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173372
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
173373
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173374
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173375
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173376
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
173377
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173378
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173379
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173380
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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