Displaying 176131-176140 of 1611142 results.
ID:
176131
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2099323
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
176132
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176133
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176134
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176135
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176136
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176137
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176138
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176139
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176140
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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