Displaying 174791-174800 of 1611142 results.
ID:
174791
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174792
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174793
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174794
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174795
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174796
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174797
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174798
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174799
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174800
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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