Displaying 175561-175570 of 1611142 results.
ID:
175561
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175562
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175563
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175564
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175565
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175566
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175567
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175568
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175569
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175570
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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