Displaying 173841-173850 of 1611142 results.
ID:
173841
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173842
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173843
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173844
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173845
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173846
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173847
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173848
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173849
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173850
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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