Displaying 173991-174000 of 1611142 results.
ID:
173991
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173992
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
173993
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
173994
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
284205
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
173995
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173996
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173997
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173998
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173999
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174000
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
173991173992173993173994173995173996173997173998173999174000