Displaying 174841-174850 of 1611142 results.
ID:
174841
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174842
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174843
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174844
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174845
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174846
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174847
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174848
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174849
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174850
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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