Displaying 175911-175920 of 1611142 results.
ID:
175911
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175912
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175913
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175914
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175915
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175916
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175917
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175918
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175919
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175920
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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