Displaying 175071-175080 of 1611142 results.
ID:
175071
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175072
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175073
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175074
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175075
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175076
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175077
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175078
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175079
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175080
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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