Displaying 175251-175260 of 1611142 results.
ID:
175251
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175252
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175253
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175254
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175255
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175256
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175257
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175258
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175259
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175260
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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