Displaying 173131-173140 of 1611142 results.
ID:
173131
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173132
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
173133
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173134
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173135
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173136
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173137
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173138
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173139
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173140
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
173131173132173133173134173135173136173137173138173139173140