Displaying 173731-173740 of 1611142 results.
ID:
173731
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173732
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173733
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173734
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173735
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173736
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173737
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173738
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173739
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173740
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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