Displaying 175121-175130 of 1611142 results.
ID:
175121
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175122
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175123
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175124
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175125
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175126
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175127
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175128
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175129
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175130
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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