Displaying 175461-175470 of 1611142 results.
ID:
175461
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175462
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175463
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175464
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175465
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175466
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175467
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175468
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175469
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175470
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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