Displaying 175921-175930 of 1611142 results.
ID:
175921
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175922
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175923
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175924
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175925
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175926
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175927
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175928
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175929
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
175930
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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