Displaying 175151-175160 of 1611142 results.
ID:
175151
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175152
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966204
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175153
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966211
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175154
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1991329
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175155
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175156
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966228
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175157
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966244
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175158
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175159
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175160
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966233
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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