Displaying 175221-175230 of 1611142 results.
ID:
175221
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175222
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175223
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
175224
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
175225
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175226
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175227
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175228
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175229
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175230
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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