Displaying 175781-175790 of 1611142 results.
ID:
175781
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175782
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175783
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175784
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175785
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175786
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175787
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175788
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175789
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
175790
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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