Displaying 173431-173440 of 1611142 results.
ID:
173431
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173432
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173433
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173434
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173435
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173436
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173437
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173438
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173439
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173440
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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