Displaying 175621-175630 of 1611142 results.
ID:
175621
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175622
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175623
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797855
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
175624
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175625
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175626
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175627
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175628
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175629
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175630
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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