Displaying 173451-173460 of 1611142 results.
ID:
173451
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173452
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173453
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173454
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173455
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173456
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173457
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173458
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173459
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173460
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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