Displaying 173591-173600 of 1611142 results.
ID:
173591
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173592
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173593
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173594
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173595
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173596
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173597
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173598
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173599
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173600
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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