Displaying 174061-174070 of 1611142 results.
ID:
174061
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174062
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174063
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174064
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174065
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174066
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174067
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174068
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174069
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174070
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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