Displaying 174801-174810 of 1611142 results.
ID:
174801
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174802
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174803
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174804
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174805
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174806
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174807
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174808
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174809
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
174810
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
174801174802174803174804174805174806174807174808174809174810