Displaying 175971-175980 of 1611142 results.
ID:
175971
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175972
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175973
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175974
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175975
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175976
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175977
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
175978
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175979
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175980
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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