Displaying 175431-175440 of 1611142 results.
ID:
175431
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175432
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175433
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175434
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175435
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175436
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175437
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175438
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175439
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175440
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
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