Displaying 174101-174110 of 1611142 results.
ID:
174101
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199030
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
174102
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174103
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174104
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174105
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174106
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174107
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174108
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174109
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174110
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174101174102174103174104174105174106174107174108174109174110