Displaying 173651-173660 of 1611142 results.
ID:
173651
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173652
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173653
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173654
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173655
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173656
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
173657
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173658
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1293506
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
173659
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173660
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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