Displaying 173921-173930 of 1611142 results.
ID:
173921
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173922
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173923
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173924
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173925
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173926
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173927
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173928
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173929
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173930
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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