Displaying 174941-174950 of 1611142 results.
ID:
174941
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174942
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174943
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174944
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174945
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174946
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174947
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
174948
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174949
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716063
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174950
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716067
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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