Displaying 174311-174320 of 1611142 results.
ID:
174311
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174312
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174313
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174314
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174315
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174316
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174317
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174318
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174319
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174320
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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