Displaying 174151-174160 of 1611142 results.
ID:
174151
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174152
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174153
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174154
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2121410
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174155
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174156
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174157
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174158
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174159
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174160
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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