Displaying 173901-173910 of 1611142 results.
ID:
173901
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1248083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173902
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173903
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173904
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173905
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
706872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173906
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173907
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173908
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173909
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173910
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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