Displaying 173581-173590 of 1611142 results.
ID:
173581
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173582
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173583
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173584
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173585
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173586
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173587
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173588
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173589
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173590
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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