Displaying 173751-173760 of 1611142 results.
ID:
173751
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173752
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173753
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173754
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173755
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173756
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173757
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173758
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173759
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173760
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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