Displaying 175771-175780 of 1611142 results.
ID:
175771
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175772
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175773
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175774
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175775
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175776
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175777
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175778
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175779
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175780
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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