Displaying 174451-174460 of 1611142 results.
ID:
174451
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174452
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174453
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174454
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174455
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
174456
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174457
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174458
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174459
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174460
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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