Displaying 175061-175070 of 1611142 results.
ID:
175061
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175062
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175063
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175064
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175065
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175066
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175067
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175068
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175069
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175070
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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