Displaying 174561-174570 of 1611142 results.
ID:
174561
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174562
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174563
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174564
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174565
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174566
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174567
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174568
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174569
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174570
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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