Displaying 173461-173470 of 1611142 results.
ID:
173461
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173462
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173463
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173464
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173465
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173466
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173467
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173468
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173469
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173470
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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