Displaying 175611-175620 of 1611142 results.
ID:
175611
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175612
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175613
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175614
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175615
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175616
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175617
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
175618
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175619
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175620
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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