Displaying 169351-169360 of 1611142 results.
ID:
169351
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169352
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169353
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169354
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169355
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169356
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169357
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169358
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169359
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169360
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
169351169352169353169354169355169356169357169358169359169360