Displaying 174181-174190 of 1611142 results.
ID:
174181
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174182
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174183
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174184
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174185
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174186
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174187
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174188
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174189
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174190
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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