Displaying 175291-175300 of 1611142 results.
ID:
175291
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175292
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175293
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175294
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175295
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175296
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175297
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175298
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2000134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175299
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175300
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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