Displaying 173881-173890 of 1611142 results.
ID:
173881
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173882
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173883
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173884
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173885
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173886
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173887
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173888
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173889
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173890
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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