Displaying 175881-175890 of 1611142 results.
ID:
175881
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175882
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175883
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175884
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175885
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175886
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175887
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175888
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175889
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175890
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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