Displaying 173721-173730 of 1611142 results.
ID:
173721
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173722
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173723
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173724
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173725
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173726
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173727
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173728
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173729
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173730
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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