Displaying 175901-175910 of 1611142 results.
ID:
175901
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175902
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175903
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
175904
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175905
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175906
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175907
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175908
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
349462
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
175909
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175910
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
175901175902175903175904175905175906175907175908175909175910