Displaying 175411-175420 of 1611142 results.
ID:
175411
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175412
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175413
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175414
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175415
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175416
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
175417
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175418
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175419
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175420
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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