Displaying 173791-173800 of 1611142 results.
ID:
173791
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173792
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173793
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173794
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173795
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173796
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173797
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173798
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173799
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173800
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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