Displaying 173681-173690 of 1611142 results.
ID:
173681
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173682
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173683
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173684
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173685
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173686
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173687
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173688
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173689
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173690
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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