Displaying 172921-172930 of 1611142 results.
ID:
172921
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172922
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172923
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172924
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172925
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172926
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172927
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172928
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172929
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172930
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
172921172922172923172924172925172926172927172928172929172930