Displaying 174771-174780 of 1611142 results.
ID:
174771
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174772
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174773
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174774
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174775
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174776
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174777
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174778
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174779
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2286281
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174780
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2286290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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