Displaying 175341-175350 of 1611142 results.
ID:
175341
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175342
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175343
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175344
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175345
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175346
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175347
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175348
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175349
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175350
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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