Displaying 175931-175940 of 1611142 results.
ID:
175931
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175932
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175933
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175934
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175935
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175936
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175937
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175938
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175939
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175940
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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