Displaying 174761-174770 of 1611142 results.
ID:
174761
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174762
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174763
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174764
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174765
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174766
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174767
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174768
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174769
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174770
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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