Displaying 174301-174310 of 1611142 results.
ID:
174301
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174302
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174303
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174304
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174305
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
174306
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174307
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174308
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174309
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174310
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
174301174302174303174304174305174306174307174308174309174310