Displaying 174161-174170 of 1611142 results.
ID:
174161
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174162
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174163
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174164
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174165
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174166
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174167
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174168
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174169
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174170
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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