Displaying 174211-174220 of 1611142 results.
ID:
174211
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174212
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174213
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174214
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174215
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174216
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174217
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174218
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174219
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174220
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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