Displaying 175201-175210 of 1611142 results.
ID:
175201
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175202
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175203
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175204
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175205
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175206
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175207
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175208
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175209
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175210
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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