Displaying 174351-174360 of 1611142 results.
ID:
174351
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174352
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174353
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174354
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174355
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174356
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174357
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174358
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174359
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174360
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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