Displaying 174341-174350 of 1611142 results.
ID:
174341
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174342
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174343
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174344
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174345
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174346
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174347
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174348
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174349
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174350
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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