Displaying 173471-173480 of 1611142 results.
ID:
173471
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173472
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173473
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173474
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173475
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173476
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173477
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173478
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173479
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173480
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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