Displaying 174951-174960 of 1611142 results.
ID:
174951
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174952
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174953
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174954
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1716090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174955
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174956
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1593858
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174957
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854832
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174958
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854836
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174959
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174960
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854852
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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