Displaying 174691-174700 of 1611142 results.
ID:
174691
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174692
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174693
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174694
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1495316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174695
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174696
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174697
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174698
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174699
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
174700
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
174691174692174693174694174695174696174697174698174699174700