Displaying 175371-175380 of 1611142 results.
ID:
175371
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175372
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175373
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175374
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175375
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175376
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175377
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175378
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175379
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175380
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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