Displaying 175571-175580 of 1611142 results.
ID:
175571
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175572
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175573
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175574
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175575
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175576
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175577
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175578
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175579
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175580
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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