Displaying 173531-173540 of 1611142 results.
ID:
173531
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173532
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173533
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173534
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
994237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173535
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173536
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173537
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173538
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173539
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173540
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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