Displaying 173261-173270 of 1611142 results.
ID:
173261
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173262
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
173263
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173264
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173265
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173266
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173267
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173268
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173269
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173270
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
173261173262173263173264173265173266173267173268173269173270