Displaying 172531-172540 of 1611142 results.
ID:
172531
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172532
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172533
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172534
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172535
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172536
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172537
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172538
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172539
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172540
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
172531172532172533172534172535172536172537172538172539172540