Displaying 175141-175150 of 1611142 results.
ID:
175141
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175142
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175143
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175144
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175145
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175146
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175147
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175148
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175149
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175150
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
966194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
175141175142175143175144175145175146175147175148175149175150