Displaying 174741-174750 of 1611142 results.
ID:
174741
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174742
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174743
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174744
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174745
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174746
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174747
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174748
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174749
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174750
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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