Displaying 173511-173520 of 1611142 results.
ID:
173511
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173512
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173513
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173514
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173515
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173516
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173517
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173518
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173519
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173520
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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