Displaying 175081-175090 of 1611142 results.
ID:
175081
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175082
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175083
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175084
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175085
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175086
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175087
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175088
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175089
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175090
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
175081175082175083175084175085175086175087175088175089175090