Displaying 174221-174230 of 1611142 results.
ID:
174221
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174222
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174223
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174224
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174225
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174226
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368034
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174227
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174228
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174229
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174230
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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