Displaying 176091-176100 of 1611142 results.
ID:
176091
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176092
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176093
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176094
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176095
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2106362
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
176096
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176097
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
176098
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
176099
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176100
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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