Displaying 175131-175140 of 1611142 results.
ID:
175131
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175132
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175133
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175134
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175135
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175136
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175137
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175138
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175139
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175140
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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