Displaying 173601-173610 of 1611142 results.
ID:
173601
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173602
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173603
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173604
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173605
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173606
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173607
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173608
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173609
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173610
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173601173602173603173604173605173606173607173608173609173610