Displaying 173701-173710 of 1611142 results.
ID:
173701
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173702
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173703
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173704
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173705
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173706
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173707
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173708
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173709
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173710
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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