Displaying 173521-173530 of 1611142 results.
ID:
173521
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173522
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173523
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173524
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
745791
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173525
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173526
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173527
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173528
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173529
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173530
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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