Displaying 173851-173860 of 1611142 results.
ID:
173851
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173852
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173853
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173854
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173855
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173856
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173857
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173858
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173859
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173860
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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