Displaying 174571-174580 of 1611142 results.
ID:
174571
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174572
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174573
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174574
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174575
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174576
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174577
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174578
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174579
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174580
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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