Displaying 175651-175660 of 1611142 results.
ID:
175651
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175652
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
175653
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175654
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175655
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175656
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175657
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175658
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175659
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175660
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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