Displaying 176011-176020 of 1611142 results.
ID:
176011
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176012
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176013
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176014
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176015
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176016
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176017
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176018
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176019
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176020
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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