Displaying 173741-173750 of 1611142 results.
ID:
173741
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173742
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173743
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173744
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173745
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173746
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173747
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173748
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173749
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173750
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310992
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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