Displaying 174751-174760 of 1611142 results.
ID:
174751
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174752
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174753
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174754
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174755
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174756
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174757
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174758
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174759
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174760
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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