Displaying 175091-175100 of 1611142 results.
ID:
175091
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175092
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175093
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175094
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175095
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175096
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175097
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175098
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175099
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175100
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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