Displaying 174331-174340 of 1611142 results.
ID:
174331
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174332
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174333
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
174334
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
174335
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174336
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174337
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174338
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174339
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174340
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174331174332174333174334174335174336174337174338174339174340