Displaying 173411-173420 of 1611142 results.
ID:
173411
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173412
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173413
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173414
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173415
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173416
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173417
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173418
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173419
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173420
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173411173412173413173414173415173416173417173418173419173420