Displaying 176211-176220 of 1611142 results.
ID:
176211
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176212
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
90
ID:
176213
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176214
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176215
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176216
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176217
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176218
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176219
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176220
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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