Displaying 173001-173010 of 1611142 results.
ID:
173001
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173002
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173003
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173004
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173005
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173006
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173007
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173008
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173009
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173010
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173001173002173003173004173005173006173007173008173009173010