Displaying 174241-174250 of 1611142 results.
ID:
174241
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174242
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174243
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174244
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174245
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174246
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174247
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174248
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368431
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174249
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174250
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
895990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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