Displaying 169481-169490 of 1611142 results.
ID:
169481
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169482
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169483
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169484
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169485
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169486
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169487
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169488
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169489
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
169490
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
169481169482169483169484169485169486169487169488169489169490