Displaying 173301-173310 of 1611142 results.
ID:
173301
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173302
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173303
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173304
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
173305
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173306
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173307
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173308
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173309
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173310
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
173301173302173303173304173305173306173307173308173309173310