Displaying 175471-175480 of 1611142 results.
ID:
175471
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175472
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175473
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175474
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175475
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175476
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175477
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1599549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175478
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1599553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175479
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1599557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175480
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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