Displaying 173421-173430 of 1611142 results.
ID:
173421
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173422
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173423
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173424
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173425
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173426
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173427
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173428
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173429
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173430
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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