Displaying 175711-175720 of 1611142 results.
ID:
175711
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175712
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175713
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175714
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175715
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175716
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175717
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175718
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175719
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175720
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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