Displaying 174671-174680 of 1611142 results.
ID:
174671
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174672
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174673
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174674
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174675
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174676
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174677
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174678
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174679
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174680
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174671174672174673174674174675174676174677174678174679174680