Displaying 174411-174420 of 1611142 results.
ID:
174411
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174412
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2174818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174413
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174414
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174415
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174416
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174417
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174418
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174419
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174420
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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