Displaying 74171-74180 of 1611142 results.
ID:
74171
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74172
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74173
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74174
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74175
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74176
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74177
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74178
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74179
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74180
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
74171741727417374174741757417674177741787417974180