Displaying 173961-173970 of 1611142 results.
ID:
173961
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173962
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173963
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173964
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173965
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173966
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173967
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173968
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173969
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1425339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173970
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1425337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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