Displaying 173491-173500 of 1611142 results.
ID:
173491
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173492
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173493
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173494
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173495
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173496
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173497
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173498
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173499
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173500
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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