Displaying 175101-175110 of 1611142 results.
ID:
175101
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175102
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175103
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175104
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175105
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175106
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175107
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175108
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175109
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175110
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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