Displaying 174991-175000 of 1611142 results.
ID:
174991
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1550720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174992
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174993
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174994
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174995
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174996
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174997
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174998
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174999
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175000
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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