Displaying 175581-175590 of 1611142 results.
ID:
175581
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175582
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175583
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175584
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175585
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175586
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175587
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175588
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175589
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175590
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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