Displaying 174591-174600 of 1611142 results.
ID:
174591
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174592
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174593
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174594
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174595
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174596
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174597
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174598
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174599
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174600
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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