Displaying 173201-173210 of 1611142 results.
ID:
173201
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173202
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173203
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173204
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173205
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173206
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173207
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173208
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173209
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173210
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173201173202173203173204173205173206173207173208173209173210