Displaying 174011-174020 of 1611142 results.
ID:
174011
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174012
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174013
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174014
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174015
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174016
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174017
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174018
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174019
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174020
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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