Displaying 174831-174840 of 1611142 results.
ID:
174831
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174832
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174833
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174834
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174835
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174836
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174837
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174838
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174839
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174840
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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