Displaying 173831-173840 of 1611142 results.
ID:
173831
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173832
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173833
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173834
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173835
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173836
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173837
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173838
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173839
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173840
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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