Displaying 173911-173920 of 1611142 results.
ID:
173911
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173912
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173913
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173914
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173915
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173916
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173917
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
173918
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
173919
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173920
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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