Displaying 175181-175190 of 1611142 results.
ID:
175181
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175182
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175183
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175184
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175185
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175186
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175187
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175188
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175189
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175190
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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