Displaying 175441-175450 of 1611142 results.
ID:
175441
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175442
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175443
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175444
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175445
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175446
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175447
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175448
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175449
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175450
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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