Displaying 176051-176060 of 1611142 results.
ID:
176051
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176052
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176053
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176054
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176055
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176056
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176057
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176058
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176059
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176060
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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