Displaying 174071-174080 of 1611142 results.
ID:
174071
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174072
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174073
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174074
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174075
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174076
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174077
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174078
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174079
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174080
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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