Displaying 169361-169370 of 1611142 results.
ID:
169361
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169362
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169363
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169364
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169365
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169366
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169367
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169368
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169369
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169370
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
169361169362169363169364169365169366169367169368169369169370