Displaying 174781-174790 of 1611142 results.
ID:
174781
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2286285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174782
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
174783
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174784
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174785
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174786
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174787
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174788
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174789
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174790
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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