Displaying 174581-174590 of 1611142 results.
ID:
174581
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174582
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174583
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174584
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174585
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174586
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174587
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174588
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174589
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174590
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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