Displaying 175661-175670 of 1611142 results.
ID:
175661
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175662
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175663
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175664
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175665
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175666
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
175667
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
175668
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175669
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175670
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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