Displaying 173931-173940 of 1611142 results.
ID:
173931
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173932
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173933
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173934
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173935
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173936
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173937
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173938
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173939
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173940
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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