Displaying 173441-173450 of 1611142 results.
ID:
173441
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173442
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173443
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173444
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173445
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173446
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173447
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173448
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173449
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173450
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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