Displaying 175591-175600 of 1611142 results.
ID:
175591
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175592
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175593
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175594
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175595
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175596
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175597
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175598
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175599
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175600
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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