Displaying 175381-175390 of 1611142 results.
ID:
175381
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175382
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175383
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175384
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175385
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175386
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175387
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175388
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175389
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175390
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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