Displaying 175191-175200 of 1611142 results.
ID:
175191
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175192
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175193
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175194
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175195
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175196
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175197
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175198
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175199
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175200
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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