Displaying 174621-174630 of 1611142 results.
ID:
174621
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174622
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174623
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174624
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174625
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174626
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174627
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174628
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174629
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174630
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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