Displaying 174171-174180 of 1611142 results.
ID:
174171
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174172
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174173
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174174
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174175
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174176
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174177
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174178
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174179
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174180
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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