Displaying 174231-174240 of 1611142 results.
ID:
174231
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174232
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174233
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368006
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174234
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368392
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174235
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174236
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174237
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174238
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368403
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174239
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368410
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174240
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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