Displaying 174091-174100 of 1611142 results.
ID:
174091
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174092
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174093
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174094
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174095
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174096
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174097
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174098
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174099
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174100
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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