Displaying 174641-174650 of 1611142 results.
ID:
174641
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174642
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174643
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174644
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174645
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174646
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174647
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174648
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174649
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174650
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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