Displaying 174491-174500 of 1611142 results.
ID:
174491
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174492
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174493
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174494
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
174495
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
174496
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
174497
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
174498
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
174499
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174500
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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