Displaying 174461-174470 of 1611142 results.
ID:
174461
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174462
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174463
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174464
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174465
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174466
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174467
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174468
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174469
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174470
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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