Displaying 173771-173780 of 1611142 results.
ID:
173771
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173772
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173773
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173774
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173775
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173776
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173777
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173778
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173779
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173780
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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