Displaying 174501-174510 of 1611142 results.
ID:
174501
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174502
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174503
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174504
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174505
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174506
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174507
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174508
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174509
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174510
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174501174502174503174504174505174506174507174508174509174510