Displaying 175511-175520 of 1611142 results.
ID:
175511
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
175512
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
175513
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
175514
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175515
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175516
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175517
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175518
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175519
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175520
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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