Displaying 175481-175490 of 1611142 results.
ID:
175481
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175482
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175483
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
175484
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
175485
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2045245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175486
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175487
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175488
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175489
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175490
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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