Displaying 174291-174300 of 1611142 results.
ID:
174291
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174292
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174293
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174294
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174295
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174296
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174297
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174298
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174299
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174300
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174291174292174293174294174295174296174297174298174299174300