Displaying 174131-174140 of 1611142 results.
ID:
174131
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174132
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174133
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174134
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174135
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174136
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174137
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
1
ID:
174138
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174139
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174140
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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