Displaying 175111-175120 of 1611142 results.
ID:
175111
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175112
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175113
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175114
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175115
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175116
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175117
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175118
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175119
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175120
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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