Displaying 173401-173410 of 1611142 results.
ID:
173401
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173402
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173403
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173404
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173405
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173406
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173407
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173408
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173409
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173410
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173401173402173403173404173405173406173407173408173409173410