Displaying 173621-173630 of 1611142 results.
ID:
173621
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173622
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173623
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173624
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173625
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173626
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
173627
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
173628
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
1
ID:
173629
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173630
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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