Displaying 173551-173560 of 1611142 results.
ID:
173551
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173552
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173553
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173554
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173555
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173556
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173557
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173558
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
173559
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173560
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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