Displaying 174031-174040 of 1611142 results.
ID:
174031
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174032
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174033
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174034
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174035
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174036
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174037
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174038
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174039
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174040
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174031174032174033174034174035174036174037174038174039174040