Displaying 176121-176130 of 1611142 results.
ID:
176121
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2197894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
176122
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176123
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176124
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176125
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176126
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176127
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176128
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176129
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176130
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
176121176122176123176124176125176126176127176128176129176130