Displaying 176201-176210 of 1611142 results.
ID:
176201
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176202
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176203
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176204
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176205
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176206
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176207
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176208
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176209
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176210
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
176201176202176203176204176205176206176207176208176209176210