Displaying 175541-175550 of 1611142 results.
ID:
175541
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175542
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175543
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175544
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175545
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175546
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175547
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175548
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175549
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175550
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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