Displaying 175831-175840 of 1611142 results.
ID:
175831
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175832
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175833
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175834
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175835
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175836
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175837
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175838
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175839
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
175840
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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