Displaying 175551-175560 of 1611142 results.
ID:
175551
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175552
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175553
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175554
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175555
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175556
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175557
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175558
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175559
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175560
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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