Displaying 176041-176050 of 1611142 results.
ID:
176041
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176042
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176043
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176044
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176045
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176046
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176047
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2380617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176048
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176049
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176050
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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