Displaying 174521-174530 of 1611142 results.
ID:
174521
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174522
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174523
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174524
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174525
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
174526
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174527
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174528
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
899705
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174529
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174530
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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