Displaying 174081-174090 of 1611142 results.
ID:
174081
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174082
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174083
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174084
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174085
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174086
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174087
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
174088
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174089
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174090
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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