Displaying 172881-172890 of 1611142 results.
ID:
172881
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172882
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172883
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
172884
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172885
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172886
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172887
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172888
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
172889
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
172890
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
172881172882172883172884172885172886172887172888172889172890