Displaying 175751-175760 of 1611142 results.
ID:
175751
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175752
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175753
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175754
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175755
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175756
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175757
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175758
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175759
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175760
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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