Displaying 176171-176180 of 1611142 results.
ID:
176171
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176172
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176173
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176174
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
176175
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176176
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176177
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176178
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176179
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176180
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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