Displaying 173821-173830 of 1611142 results.
ID:
173821
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173822
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173823
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173824
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173825
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173826
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173827
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173828
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173829
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2471100
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173830
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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