Displaying 176061-176070 of 1611142 results.
ID:
176061
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176062
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176063
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2362182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176064
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
176065
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176066
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176067
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1806878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176068
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176069
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176070
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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