Displaying 173381-173390 of 1611142 results.
ID:
173381
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173382
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1603845
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173383
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996633
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173384
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173385
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173386
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1431977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173387
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1431982
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173388
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1431987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173389
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173390
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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