Displaying 174261-174270 of 1611142 results.
ID:
174261
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174262
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174263
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174264
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174265
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174266
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174267
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174268
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174269
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174270
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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