Displaying 176181-176190 of 1611142 results.
ID:
176181
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176182
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176183
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176184
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176185
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176186
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176187
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176188
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176189
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176190
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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