Displaying 174281-174290 of 1611142 results.
ID:
174281
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174282
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174283
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174284
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174285
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174286
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174287
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174288
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174289
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174290
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2056748
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174281174282174283174284174285174286174287174288174289174290