Displaying 173711-173720 of 1611142 results.
ID:
173711
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173712
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173713
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173714
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173715
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173716
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173717
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173718
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173719
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173720
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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