Displaying 175961-175970 of 1611142 results.
ID:
175961
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175962
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753439
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175963
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175964
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753443
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
175965
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175966
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175967
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175968
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175969
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175970
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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