Displaying 176191-176200 of 1611142 results.
ID:
176191
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176192
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176193
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176194
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176195
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176196
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176197
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176198
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176199
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176200
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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