Displaying 174051-174060 of 1611142 results.
ID:
174051
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174052
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174053
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174054
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174055
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174056
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174057
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174058
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174059
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174060
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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