Displaying 175681-175690 of 1611142 results.
ID:
175681
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175682
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175683
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175684
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175685
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175686
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175687
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175688
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175689
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1540868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
175690
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
175681175682175683175684175685175686175687175688175689175690