Displaying 174251-174260 of 1611142 results.
ID:
174251
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174252
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174253
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174254
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174255
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174256
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174257
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174258
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174259
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174260
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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