Displaying 173631-173640 of 1611142 results.
ID:
173631
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173632
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173633
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173634
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173635
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173636
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173637
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173638
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173639
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173640
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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