Displaying 175701-175710 of 1611142 results.
ID:
175701
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175702
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175703
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175704
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175705
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175706
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175707
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175708
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175709
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175710
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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