Displaying 175031-175040 of 1611142 results.
ID:
175031
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175032
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175033
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175034
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175035
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175036
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175037
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175038
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175039
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175040
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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