Displaying 175301-175310 of 1611142 results.
ID:
175301
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175302
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175303
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175304
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175305
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175306
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175307
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175308
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175309
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175310
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
175301175302175303175304175305175306175307175308175309175310