Displaying 174711-174720 of 1611142 results.
ID:
174711
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174712
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174713
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174714
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174715
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174716
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174717
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551886
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174718
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1551884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174719
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
174720
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174711174712174713174714174715174716174717174718174719174720