Displaying 173891-173900 of 1611142 results.
ID:
173891
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173892
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173893
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173894
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173895
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173896
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173897
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173898
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173899
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173900
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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