Displaying 175271-175280 of 1611142 results.
ID:
175271
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175272
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175273
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175274
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175275
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175276
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175277
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175278
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175279
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175280
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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