Displaying 174601-174610 of 1611142 results.
ID:
174601
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174602
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174603
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174604
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174605
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174606
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174607
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174608
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174609
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174610
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174601174602174603174604174605174606174607174608174609174610