Displaying 173481-173490 of 1611142 results.
ID:
173481
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173482
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173483
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173484
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173485
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1095229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173486
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173487
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173488
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173489
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173490
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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