Displaying 176031-176040 of 1611142 results.
ID:
176031
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176032
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176033
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176034
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176035
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176036
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176037
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176038
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176039
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176040
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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