Displaying 176111-176120 of 1611142 results.
ID:
176111
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176112
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176113
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1249631
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176114
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176115
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176116
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966607
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176117
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176118
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
176119
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176120
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2197890
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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