Displaying 175721-175730 of 1611142 results.
ID:
175721
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175722
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175723
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175724
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175725
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175726
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175727
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175728
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175729
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175730
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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