Displaying 174871-174880 of 1611142 results.
ID:
174871
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174872
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174873
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174874
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174875
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2262032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174876
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174877
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174878
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174879
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174880
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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