Displaying 173861-173870 of 1611142 results.
ID:
173861
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173862
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173863
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173864
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173865
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173866
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173867
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173868
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173869
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173870
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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