Displaying 176701-176710 of 1611142 results.
ID:
176701
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176702
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
176703
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176704
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176705
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176706
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176707
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176708
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176709
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176710
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
176701176702176703176704176705176706176707176708176709176710