Displaying 175741-175750 of 1611142 results.
ID:
175741
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175742
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175743
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175744
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175745
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175746
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175747
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175748
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175749
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175750
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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