Displaying 173501-173510 of 1611142 results.
ID:
173501
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173502
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173503
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173504
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173505
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173506
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173507
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173508
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173509
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173510
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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