Displaying 174271-174280 of 1611142 results.
ID:
174271
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174272
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174273
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174274
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174275
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174276
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174277
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174278
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174279
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174280
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174271174272174273174274174275174276174277174278174279174280