Displaying 175261-175270 of 1611142 results.
ID:
175261
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175262
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175263
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175264
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175265
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175266
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175267
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175268
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175269
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175270
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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