Displaying 174651-174660 of 1611142 results.
ID:
174651
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174652
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174653
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174654
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174655
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174656
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174657
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
174658
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
174659
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174660
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174651174652174653174654174655174656174657174658174659174660