Displaying 173761-173770 of 1611142 results.
ID:
173761
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
209002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173762
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173763
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173764
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173765
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173766
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173767
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173768
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173769
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173770
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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