Displaying 175761-175770 of 1611142 results.
ID:
175761
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175762
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175763
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175764
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175765
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175766
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175767
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175768
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175769
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175770
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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