Displaying 175531-175540 of 1611142 results.
ID:
175531
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175532
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175533
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175534
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175535
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175536
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175537
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175538
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175539
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175540
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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