Displaying 174141-174150 of 1611142 results.
ID:
174141
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174142
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174143
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174144
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174145
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174146
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174147
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174148
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174149
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174150
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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