Displaying 174721-174730 of 1611142 results.
ID:
174721
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
896108
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174722
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174723
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174724
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174725
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174726
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174727
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174728
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174729
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174730
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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