Displaying 175991-176000 of 1611142 results.
ID:
175991
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175992
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175993
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175994
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175995
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175996
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175997
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175998
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175999
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176000
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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