Displaying 175351-175360 of 1611142 results.
ID:
175351
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175352
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175353
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175354
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175355
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175356
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
175357
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175358
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175359
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175360
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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