Displaying 174041-174050 of 1611142 results.
ID:
174041
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174042
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174043
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174044
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174045
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174046
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174047
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174048
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174049
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174050
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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