Displaying 175041-175050 of 1611142 results.
ID:
175041
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175042
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175043
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175044
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175045
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175046
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175047
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175048
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175049
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175050
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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