Displaying 175241-175250 of 1611142 results.
ID:
175241
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175242
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175243
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175244
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175245
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175246
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175247
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175248
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175249
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175250
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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