Displaying 175821-175830 of 1611142 results.
ID:
175821
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175822
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175823
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175824
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175825
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175826
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175827
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175828
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175829
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175830
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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