Displaying 174381-174390 of 1611142 results.
ID:
174381
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174382
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174383
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174384
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174385
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174386
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174387
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174388
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174389
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174390
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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