Displaying 173801-173810 of 1611142 results.
ID:
173801
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173802
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173803
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173804
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173805
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173806
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173807
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173808
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173809
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173810
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173801173802173803173804173805173806173807173808173809173810