Displaying 173101-173110 of 1611142 results.
ID:
173101
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173102
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173103
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173104
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173105
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173106
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173107
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173108
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173109
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173110
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173101173102173103173104173105173106173107173108173109173110