Displaying 174431-174440 of 1611142 results.
ID:
174431
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174432
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174433
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174434
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174435
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174436
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174437
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174438
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174439
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174440
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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