Displaying 169461-169470 of 1611142 results.
ID:
169461
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169462
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169463
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169464
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169465
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169466
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169467
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169468
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169469
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169470
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
169461169462169463169464169465169466169467169468169469169470