Displaying 174541-174550 of 1611142 results.
ID:
174541
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174542
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174543
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174544
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174545
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174546
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174547
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174548
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174549
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174550
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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