Displaying 176021-176030 of 1611142 results.
ID:
176021
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1797857
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
176022
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176023
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176024
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176025
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176026
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176027
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176028
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176029
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176030
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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