Displaying 175021-175030 of 1611142 results.
ID:
175021
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175022
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175023
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175024
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175025
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175026
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175027
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175028
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175029
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175030
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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