Displaying 176071-176080 of 1611142 results.
ID:
176071
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176072
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176073
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176074
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176075
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176076
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176077
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2463741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176078
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
808917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176079
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176080
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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