Displaying 173611-173620 of 1611142 results.
ID:
173611
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173612
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173613
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
173614
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173615
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173616
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173617
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173618
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173619
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173620
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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