Displaying 173951-173960 of 1611142 results.
ID:
173951
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173952
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173953
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173954
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173955
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173956
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173957
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173958
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173959
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173960
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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