Displaying 175421-175430 of 1611142 results.
ID:
175421
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175422
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175423
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175424
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175425
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175426
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175427
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175428
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175429
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175430
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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