Displaying 174821-174830 of 1611142 results.
ID:
174821
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174822
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174823
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174824
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174825
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174826
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174827
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174828
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174829
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174830
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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