Displaying 174731-174740 of 1611142 results.
ID:
174731
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174732
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174733
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174734
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174735
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174736
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174737
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174738
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174739
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174740
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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