Displaying 174911-174920 of 1611142 results.
ID:
174911
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174912
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174913
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174914
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174915
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174916
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174917
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174918
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174919
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174920
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1294621
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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