Displaying 174401-174410 of 1611142 results.
ID:
174401
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174402
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174403
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174404
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174405
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174406
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174407
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174408
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174409
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174410
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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