Displaying 174481-174490 of 1611142 results.
ID:
174481
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174482
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174483
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174484
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174485
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174486
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174487
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174488
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174489
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174490
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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