Displaying 175311-175320 of 1611142 results.
ID:
175311
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175312
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175313
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175314
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175315
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175316
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175317
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175318
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175319
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175320
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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