Displaying 174661-174670 of 1611142 results.
ID:
174661
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174662
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174663
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174664
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174665
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174666
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174667
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174668
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174669
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174670
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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